Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385230622> ?p ?o ?g. }
Showing items 1 to 89 of
89
with 100 items per page.
- W4385230622 endingPage "286" @default.
- W4385230622 startingPage "282" @default.
- W4385230622 abstract "Necrosis of the nipple-areolar complex (NAC) is the Achilles heel of nipple-sparing mastectomy (NSM), and it can be difficult to assess which patients are at risk of this complication (Ann Surg Oncol 2014;21(1):100-106).To develop and validate a model that accurately predicts NAC necrosis in a prospective cohort.Data were collected from a retrospectively reviewed cohort of patients who underwent NSM and immediate breast reconstruction between January 2015 and July 2019 at our institution, a high -volume, tertiary academic center. Preoperative clinical characteristics, operative variables, and postoperative complications were collected and linked to NAC outcomes. These results were utilized to train a random-forest classification model to predict necrosis. Our model was then validated in a prospective cohort of patients undergoing NSM with immediate breast reconstruction between June 2020 and June 2021.Model predictions of NAC necrosis in the prospective cohort achieved an accuracy of 97% (95% confidence interval [CI], 0.89-0.99; P = 0.009). This was consistent with the accuracy of predictions in the retrospective cohort (0.97; 95% CI, 0.95-0.99). A high degree of specificity (0.98; 95% CI, 0.90-1.0) and negative predictive value (0.98; 95% CI, 0.90-1.0) were also achieved prospectively. Implant weight was the most predictive of increased risk, with weights greater than 400 g most strongly associated with NAC ischemia.Our machine learning model prospectively predicted cases of NAC necrosis with a high degree of accuracy. An important predictor was implant weight, a modifiable risk factor that could be adjusted to mitigate the risk of NAC necrosis and associated postoperative complications." @default.
- W4385230622 created "2023-07-26" @default.
- W4385230622 creator A5004728346 @default.
- W4385230622 creator A5006809438 @default.
- W4385230622 creator A5019827467 @default.
- W4385230622 creator A5045776153 @default.
- W4385230622 creator A5062455611 @default.
- W4385230622 date "2023-08-01" @default.
- W4385230622 modified "2023-09-27" @default.
- W4385230622 title "Predicting Complications in Breast Reconstruction" @default.
- W4385230622 cites W1965760871 @default.
- W4385230622 cites W2052550308 @default.
- W4385230622 cites W2069976092 @default.
- W4385230622 cites W2094659603 @default.
- W4385230622 cites W2137354392 @default.
- W4385230622 cites W2419538831 @default.
- W4385230622 cites W2484814442 @default.
- W4385230622 cites W2544102437 @default.
- W4385230622 cites W2566590485 @default.
- W4385230622 cites W2735951758 @default.
- W4385230622 cites W2801984882 @default.
- W4385230622 cites W2811311336 @default.
- W4385230622 cites W2911964244 @default.
- W4385230622 cites W2917223591 @default.
- W4385230622 cites W2946988845 @default.
- W4385230622 cites W2990310951 @default.
- W4385230622 cites W2995077100 @default.
- W4385230622 cites W3044118218 @default.
- W4385230622 cites W3139234154 @default.
- W4385230622 cites W3213760927 @default.
- W4385230622 cites W4280576487 @default.
- W4385230622 doi "https://doi.org/10.1097/sap.0000000000003621" @default.
- W4385230622 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37489971" @default.
- W4385230622 hasPublicationYear "2023" @default.
- W4385230622 type Work @default.
- W4385230622 citedByCount "0" @default.
- W4385230622 crossrefType "journal-article" @default.
- W4385230622 hasAuthorship W4385230622A5004728346 @default.
- W4385230622 hasAuthorship W4385230622A5006809438 @default.
- W4385230622 hasAuthorship W4385230622A5019827467 @default.
- W4385230622 hasAuthorship W4385230622A5045776153 @default.
- W4385230622 hasAuthorship W4385230622A5062455611 @default.
- W4385230622 hasConcept C121608353 @default.
- W4385230622 hasConcept C126322002 @default.
- W4385230622 hasConcept C141071460 @default.
- W4385230622 hasConcept C167135981 @default.
- W4385230622 hasConcept C188816634 @default.
- W4385230622 hasConcept C201903717 @default.
- W4385230622 hasConcept C2777757722 @default.
- W4385230622 hasConcept C2781001896 @default.
- W4385230622 hasConcept C44249647 @default.
- W4385230622 hasConcept C530470458 @default.
- W4385230622 hasConcept C71924100 @default.
- W4385230622 hasConcept C72563966 @default.
- W4385230622 hasConcept C81182388 @default.
- W4385230622 hasConceptScore W4385230622C121608353 @default.
- W4385230622 hasConceptScore W4385230622C126322002 @default.
- W4385230622 hasConceptScore W4385230622C141071460 @default.
- W4385230622 hasConceptScore W4385230622C167135981 @default.
- W4385230622 hasConceptScore W4385230622C188816634 @default.
- W4385230622 hasConceptScore W4385230622C201903717 @default.
- W4385230622 hasConceptScore W4385230622C2777757722 @default.
- W4385230622 hasConceptScore W4385230622C2781001896 @default.
- W4385230622 hasConceptScore W4385230622C44249647 @default.
- W4385230622 hasConceptScore W4385230622C530470458 @default.
- W4385230622 hasConceptScore W4385230622C71924100 @default.
- W4385230622 hasConceptScore W4385230622C72563966 @default.
- W4385230622 hasConceptScore W4385230622C81182388 @default.
- W4385230622 hasIssue "2" @default.
- W4385230622 hasLocation W43852306221 @default.
- W4385230622 hasLocation W43852306222 @default.
- W4385230622 hasOpenAccess W4385230622 @default.
- W4385230622 hasPrimaryLocation W43852306221 @default.
- W4385230622 hasRelatedWork W1984230225 @default.
- W4385230622 hasRelatedWork W1997493124 @default.
- W4385230622 hasRelatedWork W2043996245 @default.
- W4385230622 hasRelatedWork W2062035065 @default.
- W4385230622 hasRelatedWork W2410052131 @default.
- W4385230622 hasRelatedWork W2417482563 @default.
- W4385230622 hasRelatedWork W2463726500 @default.
- W4385230622 hasRelatedWork W2770454160 @default.
- W4385230622 hasRelatedWork W2883231437 @default.
- W4385230622 hasRelatedWork W4372228075 @default.
- W4385230622 hasVolume "91" @default.
- W4385230622 isParatext "false" @default.
- W4385230622 isRetracted "false" @default.
- W4385230622 workType "article" @default.